DR. JAMES FLETCHER KOON MD
NPI 1093792608
Family Medicine in Kershaw, SC

Q: What is James Koon's NPI number?

The NPI number for James Koon is 1093792608. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Q: What is James Koon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for James Koon was last updated on August 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 23, 2005PECOS EnrolledAccepts Medicare Assignment

206 S MATSON ST, KERSHAW, SC 29067(803) 475-1156(803) 475-1128 Get Directions Write a Review

NPPES record last updated: August 5, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. James Fletcher Koon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES FLETCHER KOON MD (NPI 1093792608) is an individual family medicine provider in Kershaw, South Carolina, licensed in South Carolina (18339) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (1989).

NPPES Registry Identity

NPI1093792608

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAMES FLETCHER KOONCredential: MD

Location Address206 S MATSON STKershaw, SC 29067-1506

Mailing Address206 S Matson StKershaw, SC 29067-1506 · (803) 475-1156 · Fax (803) 475-1128

Phone(803) 475-1156

Fax(803) 475-1128

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1989

Enumeration DateDecember 23, 2005

Last NPPES UpdateAugust 5, 2008

✔ NPI 1093792608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SC · 18339

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

206 S MATSON ST, Kershaw, SC 29067

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Other Identifiers 15

Other5532095SC · Aetna

Other21149333031SC · Beechstreet

Medicare ID-Type UnspecifiedG209687161SC

Medicare UPING20968

Medicare PING209688862SC

OtherA8973SC · Medcost

Medicare PIN8862SC

Other000000229650SC · Unison

Other8874326SC · Ppni

Other0141069SC · Carolina Care

Other080179118SC · Retired Rr Medicare

Other20071782SC · Select Health

Other01153584SC · Amerigroup

MedicaidT24079SC

Other3091345SC · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Fletcher Koon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42309965

PECOS Enrollment IDI20071130000046

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show James Koon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Charleston Carenow Urgent Care, LLC

109 mi

Urgent Care

515 SAINT JAMES AVE
Goose Creek, SC 29445

Reassigned Medicare billing, South Carolina enrollment
55 clinicians in this Medicare group

NPI 1093248288 (843) 507-8925

Anmed Urgent Care LLC

118 mi

Urgent Care

801 N FANT ST
Anderson, SC 29621

Reassigned Medicare billing, South Carolina enrollment
16 clinicians in this Medicare group

NPI 1467289637 (864) 642-3777

Medcare Urgent Care Center - Anderson LLC

118 mi

Urgent Care

801 N FANT ST
Anderson, SC 29621

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: Medcare Express - North Charleston LLC
113 clinicians in this Medicare group

NPI 1689004095 (843) 793-6093

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

222 services22 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

198 services178 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

166 services78 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

97 services92 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

79 services70 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

69 services65 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

62 services62 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

46 services34 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

33 services32 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

27 services27 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

16 services16 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier21 claims21 services$3.72 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LANCASTER CLINIC CORP

Family Medicine

206 S MATSON ST
KERSHAW, SC 29067

Lancaster County (803) 475-1156

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Koon's NPI number?

The NPI number for James Koon is 1093792608. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is James Koon located?

James Koon practices at 206 S Matson St, Kershaw, SC 29067. The listed phone number is (803) 475-1156.

What is James Koon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Koon enrolled in Medicare?

Yes. James Koon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Koon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Koon reassigns Medicare benefits to 3 organizations: Charleston Carenow Urgent Care, LLC (Goose Creek, SC), Anmed Urgent Care LLC (Anderson, SC) and Medcare Urgent Care Center - Anderson LLC (Anderson, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Koon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Koon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list James Koon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Koon was last updated on August 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.